Billing and Collection Specialist
Required skills
- Medicaid regulations
- HIPAA regulations
- AR
- EOBs
- payer-contracted rates
- patient invoices
- Medicaid Remittance Advice
- bookkeeping skills
- claim submission
Nice to have
- billing/collections experience
- medical billing
- medical payer rules
Role summary
Seeking a Billing and Collection Specialist to deliver quality services in a timely and professional manner within a fast-paced environment. This role reports to Revenue Cycle Management and requires a strong understanding of Medicaid and HIPAA regulations, as well as experience with billing, collections, payment processing, and basic bookkeeping. The specialist will be responsible for submitting claims, managing accounts receivable, processing payments, and ensuring accuracy in billing and collections processes. The ideal candidate is self-motivated, organized, able to multitask, and works well both independently and in a team.
This candidate is responsible for delivering quality services in a timely manner. The specialist must possess a great working attitude while exercising accountability and professionalism in a fast-paced environment. This role reports to Revenue Cycle Management.
Billing and Collections Responsibilities
- Understanding of Medicaid regulations
- Submit claims in a timely manner according to payer regulations
- Recognize and update pre-billing errors
- Ensure proper follow-up using AR (Aging Reports), EOBs (Explanation of Benefits), and/or other correspondence
- Recognize payment errors using payer-contracted rates
- Abide by HIPAA regulations
- Communicate well with peers and administration
- Perform other duties as assigned
Payment Responsibilities
- Understanding of payment regulations
- Submit patient invoices
- Process Medicaid Remittance Advice
- Recognize payment errors using payer-contracted rates
- Abide by HIPAA regulations
- Communicate well with peers and administration
Qualifications
- Previous experience in billing/collections preferred
- Self-motivated
- Ability to work independently as well as in a team
- Ability to multitask and stay organized
- Willing to take on new tasks
- Operate standard office equipment
- Basic bookkeeping skills
- Ability to communicate and work well with others
- Maintain a professional, courteous attitude
- Experience with medical billing and/or medical payer rules
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Our mission is to offer New Beginnings and meaningful opportunities to our caregivers and clinicians while providing home care services to our clients built on innovation, skill, and Christ-like values of compassion, honesty, and patience.
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